Active NPI
Elise Helene Marshall, DO
- Internal Medicine Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2874
- Practice address
- 605 Glenwood Dr Ste 300
Chattanooga, TN 37404-1144 - Phone
- (423) 495-2690
- Fax
- (423) 495-2698
- NPI assigned
- Jun 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OT014868 | PA | |
| Internal Medicine Physician | 207R00000X | 2874 | TN | Primary |
Addresses
Primary practice location
605 Glenwood Dr Ste 300
Chattanooga, TN 37404-1144
Mailing address
PO Box 80426
Chattanooga, TN 37414-7426
Phone (423) 495-3671
Other names 1
- Elise Helene Schmidt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 495-2525
Hospital & facility affiliations
- Memorial Healthcare System, Inc
- Commonspirit-Memorial Hospital-North Georgia
- Erlanger Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT014868 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Partners Foundation Inc | Current | Accepting new patients | |
| Memorial Health Partners Foundation, Inc | Internal Medicine | Current | Accepting new patients |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Internal Medicine | Current | Accepting new patients |
| Memorial Health Partners Foundation Inc | Current | Accepting new patients |
Locations
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
605 Glenwood Dr
Ste 300
Chattanooga, TN 37404
Phone (423) 495-2620
2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620
5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586
1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220
Networks
- TN PPO
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- AL HMO D-SNP
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- KY PPO
- MS PPO C-SNP
- KY PPO C-SNP
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- AL HMO
- TN PPO C-SNP
- MS PPO D-SNP
- MS PPO
Interoperability endpoints
- elisemarshall@tnmhpf.allscriptsdirect.net
- emarshall214967@direct.stlukeshealth.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
Internal Medicine
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Rural Health Clinic/Center
- Trenton, GA
- NPI 1467602482
-
- Rural Health Clinic/Center
- La Fayette, GA
- NPI 1760632780
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1861194086
-
- General Acute Care Hospital
- Hixson, TN
- NPI 1083778633
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
-
- General Acute Care Hospital
- Ringgold, GA
- NPI 1356860621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1013271477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80426",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374147426",
"telephone_number": "423-495-3671",
"fax_number": "214-429-2671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 GLENWOOD DR STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374041144",
"telephone_number": "423-495-2690",
"fax_number": "423-495-2698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "ELISE",
"middle_name": "HELENE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-30",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OT014868",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "2874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELISE",
"last_name": "SCHMIDT",
"middle_name": "HELENE",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.